Individual provider Active NPI

Jodi Zimbler, D.O.

  • Family Medicine Physician
  • Commack, NY
National Provider Identifier
1659791093
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
281398 Issued in NY
Practice address
777 Larkfield Rd
Commack, NY 11725-3136
Phone
(631) 635-5100
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 281398 NY Primary

Addresses

Primary practice location

777 Larkfield Rd
Commack, NY 11725-3136

Mailing address

777 Larkfield Rd
Commack, NY 11725-3136
Phone (631) 635-5100

Other practice location 1

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828003444 NY Practitioner - Family Practice 9739451626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

777 Larkfield Rd
Commack, NY 11725-3136
Phone (631) 724-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2017 Accepting new patients

Locations

4230 Hempstead Tpke
Ste 200
Bethpage, NY 11714
Phone (516) 656-1414

777 Larkfield Rd
Commack, NY 11725
Phone (631) 635-5100

1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 354-7900

1097 Old Country Rd
Ste 201
Plainview, NY 11803
Phone (516) 336-8332

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jodizimbler@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659791093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LARKFIELD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253136",
            "telephone_number": "631-635-5100",
            "fax_number": "631-635-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LARKFIELD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253136",
            "telephone_number": "631-635-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034914",
            "country_code": "US",
            "telephone_number": "516-719-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMBLER",
        "first_name": "JODI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.